Recurrent pregnancy loss (RPL) is a hard enough experience without the added mystery of why it is happening. Finding a solution to recurrent pregnancy loss is challenging, because there are just so many factors that can contribute to it.
For this reason, The Ribbon Box have turned to leading US fertility clinic, ORM Fertility to find what causes recurrent pregnancy loss. We know that although there are many reasons for RPL, there are also many solutions to finding your path to parenthood.
Read on to discover why ORM Fertility believes RPL can occur, what solutions they can offer and what things you could try to improve your chances of a healthy pregnancy when trying to conceive.
Words by ORM Fertility
What is Recurrent Pregnancy Loss?
The loss of a pregnancy is heartbreaking and recurrent pregnancy loss can feel unbearable to those who are dreaming of becoming parents. About 15-20% of all clinically recognised pregnancies end in miscarriage. From that original number, only about 1% will experience subsequent miscarriage.
RPL is defined as the loss of two or more clinically recognised pregnancies. For those experiencing RPL, talking with your doctor or a fertility specialist can help you narrow down the possible causes of miscarriage and understand your potential options for moving forward and growing your family.
What Causes Recurrent Pregnancy Loss?
After experiencing multiple miscarriages, there’s no doubt you are searching for an answer as to “why?” It can be hard to know what to do next as you grieve your recurrent pregnancy loss and try to rationalise what’s happened. It’s important to remember, it is not your fault. Many causes of miscarriage are out of our control.
Understanding some of the common causes of miscarriage can be a great first step to finding a little peace and determining the right next step for you and your growing family.
Comprehensive fertility testing can give physicians a comprehensive picture of your reproductive health and help identify any abnormalities that may be causing the miscarriages.
Common Causes and Testing
Recurrent pregnancy loss (RPL) can be caused by a number of things, most of which are ultimately out of your control. Simple fertility tests, such as blood tests and ultrasounds, can be used to narrow down the potential causes of RPL:
What Are My Treatment Options for RPL?
Based on your diagnosis, there are a variety of ways you can move forward. Many of the identifiable conditions that cause recurrent pregnancy loss can be managed. Treatments can include:
- Genetics: For individuals with chromosome abnormalities, such as a balanced translocation, the use of IVF with preimplantation genetic testing can improve outcomes by allowing embryos with the correct number of chromosomes to be identified and then transferred into the uterus.
- Anatomic: If anatomic abnormalities are identified, such as fibroids or a uterine septum, surgical correction can potentially increase the chances for a healthy and successful pregnancy.
- Autoimmune: Autoimmune conditions can be addressed with a range of interventions, including the use of blood thinners to help the tiny embryo implant and grow normally.
- Hormonal: Hormonal abnormalities can often be corrected using supplemental medications to normalise the hormone profile.
- Reproductive Age: For egg providers whose egg health and quantity is declining, there are options to optimise chances of a successful pregnancy. By going through IVF, we can collect a number of eggs at once and ensure that they meet with sperm. Testing of the resulting embryos with preimplantation genetic testing, can then identify chromosomal abnormalities that might prevent successful implantation and growth.
Growing Your Family Through Surrogacy
When there is a non-modifiable medical cause of recurrent pregnancy loss and pregnancy would be unlikely or even unsafe for the carrier, gestational surrogacy can be a great option to help couples and individuals grow their family.
We also know that losing a pregnancy has a profound emotional impact. As a result, patients may choose to partner with a surrogate when the emotional toll of the risk of experiencing another failed pregnancy feels too high to try and carry again on one’s own.
There are many individuals who feel passionately about helping other families grow, whether it’s through egg donation, sperm donation, or surrogacy. With many robust donor and surrogacy programs out there and more surrogacy friendly laws being passed every year, the options for family building through third party reproduction can bridge the gap to help you realise your dream of parenthood.
Things You Can Do To Optimise Your Chances Of A Healthy Pregnancy
While most causes of recurrent pregnancy loss are out of our control, there are a few things we can do now to help increase our chances of conceiving and carrying a healthy pregnancy. Try taking the following steps to improve your lifestyle for fertility:
- Maintain a BMI between 18-35
- Quit smoking, anything! This includes both tobacco and marijuana
- Limit caffeine intake to 250mg/day
- Minimise environmental exposures to Endocrine Disrupting Chemicals like phthalates and bisphenols:
- Store food and heat food in glass container
- Avoid processed foods
- Cookware that does not contain a non-stick surface, such as teflon. Consider cast iron or ceramic coatings instead
Related Article – Baby Loss – Grief, Coping Mechanisms and Pregnancy after Loss
Why See A Fertility Specialist?
Some OB/GYN’s are comfortable evaluating and treating recurrent pregnancy loss, but many prefer to send their patients to a Reproductive Endocrinologist (REI) or fertility specialist. While many people see fertility clinics as a source for care in cases where individuals or couples cannot conceive a pregnancy, they also provide evaluation and care for those who are having difficulty staying pregnant. Recurrent pregnancy loss is a unique condition, separate from infertility, which warrants an evidence-based evaluation to help optimise outcomes.
With specialised training in the management of RPL, fertility specialists have the ability to do intensive early pregnancy monitoring with weekly ultrasounds for viability and can rapidly respond to patients with bleeding and pain. As they care for a number of patients experiencing RPL, REI’s are more apt to stay up-to-date on current research and technology around RPL evaluation and management.
Because the emotional toll of RPL is so high, patients seeking answers may be convinced to undergo thousands of dollars worth of unnecessary or unproven testing and treatment in an attempt to have a successful pregnancy. The most important thing is to have your evaluation performed by a fertility specialist who is knowledgeable about RPL and has your health and safety, and the health and safety of your pregnancies in mind. Seeing an REI or Fertility Specialist can be a great addition and tool to support your journey to parenthood, in partnership with your OB/GYN or primary care physician.
Related Article – Trying to Conceive and Pregnancy After Baby Loss – Lisa’s Story
There is no right or wrong path to parenthood and the journey is not always linear. In the end, you have to do what feels right for YOU. Take the time you need to mourn and explore your options for moving forward. Your experiences, your feelings, and your journey are unique to you.
And remember: you are not alone. There is a community of people who are experiencing similar recurrent pregnancy loss and can provide support and connection during this hard time. Practice self-care and lean on your support system, partner, friends, family, and your care team to help you navigate this fertility journey.
ORM Fertility clinic has a passionate and robust team of physicians, genetic counsellors, embryologists, mental health counsellors, clinical staff and more that are always here to meet you where you’re at on your path to parenthood. Whether you are in need of basic fertility testing or looking to grow your family through surrogacy, our team of fertility experts is here to help and support you in every step of your journey.
Check out our website to learn more about our services or attend one of our FREE monthly webinars to learn how ORM Fertility can help you grow your family.
Considering Surrogacy or Egg Donation?
Hopefully this IVF blog about RLP has given some insight into what causes recurrent pregnancy loss and fertility treatment options. Whether you are thinking of pursuing parenthood through the use of a fertility clinic, surrogacy or egg and sperm donations, it is always helpful to have the guidance of trusted specialists who share their insights for TRB readers.